NPI 1043206543
East Louisiana State Hospital
Practice location
- Address
- 4502 Highway 951, Jackson, LA 70748-0498
- Phone
- (225) 634-0533
- Fax
- (225) 634-5827
- Mailing address
- P.O. Box 498 4502 Highway 951, Jackson, LA 70748-0498
Authorised official
- Name
- Malissa C. Coleman
- Title
- Accountant Manager 3
- Phone
- (225) 634-0533
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1043206543
- Entity type
- Organization
- NPI issued
- 21 Sep 2005
- Record last updated
- 7 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.